Organization Active NPI

Clinical Care Network, Inc

  • Contractor
  • Miami, FL
National Provider Identifier
1891122750
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
CLINICAL CARE NETWORK, INC
Practice address
2121 SW 3Rd Ave
Suite 500.
Miami, FL 33129-1490
Phone
(786) 631-4335
Fax
(305) 631-2806
NPI assigned
Oct 8, 2013
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Antonio Diaz
Title
President/Owner
Phone
(786) 454-9844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

2121 SW 3Rd Ave
Suite 500.
Miami, FL 33129-1490

Mailing address

2121 SW 3Rd Ave
Suite 500.
Miami, FL 33129-1490
Phone (786) 631-4335

National Provider Directory

National Provider Directory

Locations

2121 SW 3rd Ave
Ste 500
Miami, FL 33129
Phone (786) 631-4335

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1891122750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SW 3RD AVE",
            "address_2": "SUITE 500.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291490",
            "telephone_number": "786-631-4335",
            "fax_number": "305-631-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW 3RD AVE",
            "address_2": "SUITE 500.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291490",
            "telephone_number": "786-631-4335",
            "fax_number": "305-631-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CARE NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-454-9844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.